Document Detail


The effect of stapedotomy on tinnitus in patients with otospongiosis.
MedLine Citation:
PMID:  16813029     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Stapedotomy is primarily performed to treat hearing loss secondary to otospongiosis, although some patients find that the accompanying tinnitus is more bothersome than the hearing loss. We prospectively studied 23 consecutive patients with tinnitus secondary to otospongiosis who had undergone stapedotomy, and we compared their pre- and postoperative medical and audiologic findings. Patients' annoyance with their tinnitus was quantified by means of a visual analog scale, and their air-conduction thresholds were determined by measurements of a 4-frequency pure-tone average (0.5, 1, 2, and 4 kHz). Statistical analysis was performed using the paired Student's t test and Fisher's exact test. In the group as a whole, the mean tinnitus annoyance visual analog scores were 8.34 preoperatively and 1.56 postoperatively, a highly significant difference. Clinically, 22 of the 23 patients (95.7%) achieved satisfactory control of their tinnitus (improvement or complete resolution) following stapedotomy. With respect to hearing loss, all patients clinically improved postoperatively, and audiometry confirmed improvement at all 4 frequencies between 0.5 and 4 kHz. An air-bone gap of less than 10 dB was noted in 17 patients (73.9%). We conclude that in addition to improving hearing, stapedotomy also provides good control of tinnitus.
Authors:
Adriana da Silva Lima; Tanit Ganz Sanchez; Renata Marcondes; Ricardo Ferreira Bento
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Ear, nose, & throat journal     Volume:  84     ISSN:  0145-5613     ISO Abbreviation:  Ear Nose Throat J     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2006-07-03     Completed Date:  2006-07-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7701817     Medline TA:  Ear Nose Throat J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  412-4     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Audiometry, Pure-Tone
Auditory Threshold
Female
Follow-Up Studies
Humans
Male
Otosclerosis / complications*,  diagnosis
Prospective Studies
Recovery of Function
Risk Assessment
Severity of Illness Index
Stapes Surgery / methods*
Tinnitus / etiology,  physiopathology,  surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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